Modern Drug INC

NPI #1134128655 in Fresno, California

Provider Information

NPI Number: 1134128655
Entity Type: Organization
Organization Name: Modern Drug INC
Primary Specialty: Pharmacy
Enumeration Date: Jul 18, 2005
Last Updated: Feb 24, 2011

Practice Location

Address: 3250 E OLIVE AVE
Address 2: STE B
City: Fresno
State: California
ZIP Code: 93702-1023
Phone: (559) 268-2547

Authorized Official

Name: KIMPHI THI LE, RPH
Title: PIC/TREASURER
Phone: (559) 268-2547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X	Primary

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